Medical Council of Canada MCCQE Part 1 : MCCQE

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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 60-year-old postmenopausal woman presents with 2 culture-proven uncomplicated urinary tract infections in the last 5 months. She finds them quite distressing and would like to prevent recurrence. Which one of the following is the best next step?

A) Suggest that she begin regular probiotics.
B) Prescribe vaginal estrogen.
C) Refer for pelvic physiotherapy.
D) Reassure the patient.
E) Refer the patient for a cystoscopy.

2. You are called to the Emergency Department to see a 6-month-old boy with a 3-day history of fever. Physical examination reveals an irritable infant with a temperature of 38.1°C. His vital signs are:
Blood pressure: 87/50 mm Hg
Respiratory rate: 80/min
Heart rate: 140/min
Oxygen saturation: 92% on room air
The infant has no skin findings. On chest examination, you hear coarse crackles on the right side of the chest.
Which one of the following is the best next step in the management of this child?

A) Intravenous antibiotics.
B) Reassurance.
C) Intravenous fluids.
D) Oral steroids.
E) Oral antibiotics.

3. You are providing medical care to a 78-year-old man and notice a skin lesion which you suspect is malignant melanoma. He has been living in a long-term care facility for 2 years because of incontinence, mobility and vision problems. He is well-liked by facility staff and residents, manages his own affairs and communicates clearly. He has designated his daughter to be his substitute decision-maker and has signed a Do Not Resuscitate (DNR) order. Which one of the following is the best next step in providing care to this patient for his skin lesion?

A) Respect his DNR wishes, and do nothing about the skin lesion.
B) Discuss your tentative diagnosis with him and ask about his preferences regarding investigations.
C) Contact the daughter to inform her of your findings and discuss possible investigations.
D) Perform a biopsy to ensure an accurate diagnosis before discussing diagnosis and treatment.
E) Ask him whether you can discuss your diagnosis and care with his daughter.

4. A 60-year-old man is admitted to hospital, and lung cancer is diagnosed. When his family physician reviews the discharge summary, she reviews the patient's chart and finds a chest radiograph report from 1 year ago that mentions a suspicious nodule and recommends a computed tomography scan. The family physician recalls seeing this report and did not order the scan. Which one of the following is the family physician's best next step?

A) Forward the report to the oncology team that will be treating him.
B) Call the radiologist who issued the report and determine why the patient was not contacted directly.
C) Discipline the office staff for not bringing the report to her attention.
D) Communicate with the patient and arrange to disclose this information to him.
E) Do not disclose at this time.

5. A 27-year-old woman presents to her family physician ' s office and states that she is pregnant and would like to be referred for an abortion. She is at approximately 9 weeks ' gestation by dates. The family physician has personal conscience-based objections to the procedure. Which one of the following would be the best next step for this physician?

A) Refer the patient to another physician
B) Recommend that the patient consider adoption
C) Ask the patient to return in 2 weeks to give her time to consider her options
D) Explain their personal views about therapeutic abortion to the patient

Solutions: